A Wider Understanding of a Patientís Relational Autonomy at the Time of Death


Shahla Siddiqui


Respect for autonomy is a key concept in contemporary bioethics and in ethics at the end of life in particular. An individualistic interpretation of autonomy may not incorporate the aspects of consideration that patients may have for their wider construct of personhood, which includes their love and consideration for their families. This anonymous case describes the intricacies of a patientís decision making at the end of life, the choices she made, and how her decisions changed as her situation evolved. The tension this produced within the medical team is unpacked using a lens of compassionate care in the intensive care unit.



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